Provider Demographics
NPI:1477726180
Name:HOPE AHEAD RESIDENTIAL LIVING, INC.
Entity Type:Organization
Organization Name:HOPE AHEAD RESIDENTIAL LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:EZELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:251-661-5080
Mailing Address - Street 1:3204 WELLBORNE DR E
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-3273
Mailing Address - Country:US
Mailing Address - Phone:251-232-2548
Mailing Address - Fax:251-661-5080
Practice Address - Street 1:555 STAGE RD.
Practice Address - Street 2:SUITE G
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830
Practice Address - Country:US
Practice Address - Phone:334-501-8583
Practice Address - Fax:334-501-8583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health